Plume29d ago

USD 152000–160000/yr

Director of Finance and Accounting

RemoteRemote / Full Time Employeeexecutive

OtherFinance And Accounting

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Quick Summary

Overview

About Plume: Plume is a passion-fueled, mission-driven company that is trans-founded with a vision to transform healthcare for every trans life. We hope to make gender-affirming hormone therapy easily accessible at the touch of a button in every state of the US.

Technical Tools

google-workspacenetsuitedata-analysisforecastinghealthtechproject-management

About Plume:

Plume is a passion-fueled, mission-driven company that is trans-founded with a vision to transform healthcare for every trans life. We hope to make gender-affirming hormone therapy easily accessible at the touch of a button in every state of the US.

This work is deeply personal and heart-driven, and we want teammates who care about the mission and the people we serve. For the right candidates, we present a rare opportunity to do well by doing good. Plume offers an affirming, trans-centered, culturally inclusive, and fun work environment filled with purpose.

About the Role

~1 min read

Reporting directly to the Chief Operating Officer (COO), the Director of Finance and Accounting will play a critical leadership role in overseeing the financial health and operational efficiency of Plume. This role will manage financial planning, budgeting, forecasting, and all aspects of the finance and accounting function, ensuring accuracy, compliance, and strategic financial insights. The Director will provide strategic direction and leadership for financial processes, support operational decision-making through financial analysis, and foster a high-performance culture within the finance and accounting teams.

Responsibilities

~3 min read

→Lead the strategic direction and overall management of financial planning, budgeting, and forecasting processes in collaboration with the COO and executive leadership.

→Monitor financial performance, analyze key metrics, and provide insights for operational decision-making.

→Support the COO in evaluating market opportunities, roadmap trade-offs, and competitive positioning.

→Assist in translating financial insights into compelling narratives to inform internal decision-making and support external partnerships.

→Provide strategic oversight for the bi-annual budgeting process for the organization, guiding the Accounting Manager in project management and asset preparation.

→Oversee and ensure the integrity and timely completion of the month-end close process, providing strategic review of financial statements and insights for executive leadership

→Ensure that cross-departmental inbound requests are efficiently managed and resolved by the accounting team, serving as an ultimate escalation point for complex issues.

→Oversee the overall invoicing and expense management processes, ensuring effectiveness and compliance, and serving as the ultimate escalation point for critical unpaid invoices or systemic issues.

→Establish and champion the development and maintenance of robust standard operating procedures for financial processes, ensuring their effectiveness and compliance, and providing guidance to the Accounting Manager.

→Develop and maintain the treasury management policy, providing strategic oversight of cash flow and allocation, and ensuring financial stability.

→Provide strategic guidance and ultimate review for the annual update of MSA agreements between our PC and MSO and the appropriate allocation of cash across corporate entities, ensuring compliance and optimal financial structuring

→Strategically oversee all quarterly and annual tax filings, ensuring compliance and optimizing tax positions, and serving as the executive point of contact for complex tax matters

→Manage and mentor our Accounting Manager, fostering their growth and ensuring they effectively lead the offshore accounting team to complete daily accounting tasks and monthly close, ensuring efficient and effective processes across all accounting functions, and monitoring key performance indicators (KPIs) to drive continuous improvement
→Support the operational maturation of the organization holistically via common business operating frameworks and tools
→Utilize data analysis to drive operational improvements and inform strategic decisions.

→Bachelor's degree in accounting or finance.

→10+ years of progressive experience in an accounting or finance leadership role, ideally with experience scaling financial operations in a growth-oriented environment.

→Thorough knowledge of GAAP accounting principles and practices

→Experience in the healthcare industry or digital health/telehealth sectors.

→Familiarity and proficiency with Netsuite is required

→Proficiency in spreadsheets and Google Workspace, with the ability to build and manage financial models.

→Strong analytical and problem-solving skills.

→Excellent attention to detail and organizational abilities.

→Comfortable in a fully remote work environment.

→Strong alignment with Plume’s mission and values, with a passion for providing dignified and relatable healthcare experiences for the trans community.

→CPA Designation.

→Experience with Ramp and Bill.com.

→Multi-entity environment experience.

Location & Eligibility

Where is the job

Worldwide

Fully remote, anywhere in the world

Who can apply

Same as job location

Listed under

Worldwide

Listing Details

Posted: April 7, 2026
First seen: April 7, 2026
Last seen: May 6, 2026

Posting Health

Days active: 28
Repost count: 0
Trust Level: 43%
Scored at: May 6, 2026

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Plume

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Plume Health is a virtual gender-affirming care clinic dedicated to providing accessible and reliable healthcare for the trans and gender non-conforming community.

Employees

125

Founded

2019

Domain

getplume.co

Jobs

View 7 jobs

View company profile

Salary

USD 152000–160000

per year